Dr. Gordon J Siegel, M.D.
Otolaryngology, Plastic Surgery within the Head & Neck in Chicago, IL. Individual provider (NPI-1).
NPI number1982609103
StatusActive
Last updated in NPPESJan 31, 2013
Details
- NPI
- 1982609103
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gordon J Siegel
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2005
- Last updated
- Jan 31, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YX0007X | Otolaryngology, Plastic Surgery within the Head & Neck | 036053430 | IL | Yes |
Practice location
3 E Huron StFl 1
Chicago, IL 60611-2887
Phone 312-988-7777 · Fax 312-988-7838
Mailing address
3 E Huron StChicago, IL 60611-2887
Phone 312-988-7777 · Fax 312-988-7838
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